An American Plague: Pro-Market Believers in Health Policy; Comment on “On Health Policy and Management (HPAM): Mind the Theory-Policypractice Gap”

Document Type : Commentary

Author

Conservatoire National des Arts et Métiers, Paris, France

Abstract

Although American health policy debates address similar problems to other developed nations, it has factual and ideological specificities. I agree with Chinitz and Rodwin on the dominance of micro-economics thinking. However, I am not certain that learning from management theory or modifying medical education will be powerful enough to change the system. The vested interests of the stakeholders are too powerful, the more so when they are supported by economists who ideologically reinforce them and by neglecting the fact that the basic premises of market ideology are false when applied to medical care. There is enough empirical evidence to support that but, apparently, these facts do not dent these beliefs.

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References

  1. Chinitz DP, Rodwin VG. On Health Policy and Management (HPAM): mind the theory-policy-practice gap. Int J Health Policy Manag 2014; 3: 361–3. doi: 10.15171/ijhpm.2014.122
  2. Jost T. Health Care at Risk: A Critique of the Consumer-Driven Movement. Durham: Duke University Press; 2007.
  3. Marmor T,  Klein R. Politics, Health, and Health Care: Selected Essays. New Haven: Yale University Press;  2012
  4. Rose R, Mackenzie WJ. Comparing forms of comparative analysis.  Polit Stud (Oxf) 1991; 39: 446-62. doi: 10.1111/j.1467-9248.1991.tb01622.x
  5. Sicotte C, Champagne F, Contandriopoulos AP, Barnsley J, Béland F, Leggat SG, et al. A conceptual framework for the analysis of health care organizations’ performance. Health Serv Manage Res 1998; 11: 24-41.
  6. Guisset AL, Sicotte C, Leclercq P, D’hoore W. [Définition de la performance hospitalière: une enquête auprès des divers acteurs stratégiques au sein des hôpitaux]. Sciences Sociales et Santé 2002; 20: 65-104.
  7. Porter M, Tiesberg E. Why Health Care is Stuck – and How to Fix It [internet]. HBR Blog Network, Harvard Business Review. September 17, 2013. Available from: https://hbr.org/2013/09/why-health-care-is-stuck-and-how-to-fix-it
  8. Organization for Economic Co-operation and Development (OECD). Health at a Glance, 2013.  http://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf
  9. de Kervasdoué J. Power, efficiency and innovations in formal organizations [PhD dissertation]. ILR School, Cornell University; 1973.
  10. Marmor TR, Gordon RW. Commercial pressures on professionalism in american medical care: from medicare to the affordable care act. J Law Med Ethics 2014; 42: 412-9. doi: 10.1111/jlme.12164
  11. Tuohy C. Accidental Logics The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada. USA: OUP; 1999.
  12. Pierson P. Dismantling the Welfare State? Reagan, Thatcher and the Politics of Retrancement (Cambridge Studies in Comparative Politics). Cambridge: Cambridge University Press; 1995.

 

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History

  • Receive Date: 08 January 2015
  • Revise Date: 22 January 2015
  • Accept Date: 20 January 2015

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